Virginia to Use APCD to Target Unnecessary Medical Spending

In 2017, Virginia clinicians provided $747 million worth of wasteful services to patients, according to the Virginia Center for Health Innovation (VCHI), writes The Virginia Mercury. VCHI received a $2.2 million grant to tackle unnecessary medical spending in Virginia. The three-year grant will fund VCHI’s work with six participating health systems: Ballad Health, Carilion Clinic, HCA Virginia, Inova Health System, Sentara Healthcare and VCU Health System.

By using data from Virginia Health Information, which runs the state’s All Payer Claims Database, VCHI will look at the numbers for those six systems by clinician, run reports using a tool that calculates wasteful spending and send those reports to each of the systems so they can evaluate and address the problems.